| NPI | 1558022665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 905147) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: MS 905147) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 905147) | |
| 163W00000X Registered Nurse (Licence: MS R876207) | |
| 163WC1500X Registered Nurse, Community Health (Licence: MS R876207) | |
| 363L00000X Nurse Practitioner (Licence: MS 905147) | |
| Enumeration Date | 2022-01-02 |
| Last Update Date | 2024-08-26 |